Individual provider Active NPI

Michael Nestlehut

  • Hearing Instrument Specialist
  • Highland, IN
National Provider Identifier
1376204586
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17000863 Issued in IN
Practice address
9009 Indianapolis Blvd
Highland, IN 46322-2502
Phone
(219) 838-7370
NPI assigned
Jan 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 17000863 IN Primary

Addresses

Primary practice location

9009 Indianapolis Blvd
Highland, IN 46322-2502

Mailing address

9009 Indianapolis Blvd
Highland, IN 46322-2502
Phone (219) 838-7370

Other practice location 1

402 Wall St
Valparaiso, IN 46383-2562
Phone (219) 838-7370

Other practice location 2

382 W 80th Pl
Merrillville, IN 46410-5432
Phone (219) 838-7370

Other practice location 3

3190 Lancer St
Portage, IN 46368-4488
Phone (219) 838-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17000863INMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1376204586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222502",
            "telephone_number": "219-838-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222502",
            "telephone_number": "219-838-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Wall St",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832562",
            "country_code": "US",
            "telephone_number": "219-838-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "382 W 80th Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105432",
            "country_code": "US",
            "telephone_number": "219-838-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3190 Lancer St",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463684488",
            "country_code": "US",
            "telephone_number": "219-838-7370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTLEHUT",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17000863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.